Keto Sausage And Peppers Skillet
A rustic one-pan Italian dinner of juicy sausage, sweet bell peppers, and onion simmered in garlicky tomato. At just 7.2g net carbs per serving and ready in 30 minutes total, it's a hearty, low-carb weeknight meal the whole family will devour.
Head of Nutrition · June 18, 2026
Nutrition per serving
Per serving · makes 4. Values are estimates; brands vary.
This sausage and peppers skillet delivers all the cozy, garlicky Italian comfort of the classic without the bun or hidden sugars. It comes together in one pan in about 30 minutes, making it an effortless keto weeknight winner.
Ingredients
- 1.5 lb Italian sausage links (mild or hot, no added sugar)
- 2 tablespoons extra-virgin olive oil
- 2 medium bell peppers (1 red, 1 green), sliced into strips
- 1/2 medium yellow onion, thinly sliced
- 4 cloves garlic, minced
- 1/2 cup sugar-free marinara or crushed tomatoes
- 1 teaspoon dried Italian seasoning
- 1/2 teaspoon red pepper flakes (optional)
- 1/4 cup fresh basil, torn
- Salt and freshly ground black pepper, to taste
Instructions
- 1
Heat 1 tablespoon olive oil in a large skillet over medium-high heat. Add the sausage links and brown on all sides, about 6 minutes (they won't be cooked through yet). Transfer to a plate.
- 2
Add the remaining 1 tablespoon oil to the skillet. Add the bell peppers and onion and cook, stirring occasionally, until softened and lightly charred, 6 to 7 minutes.
- 3
Stir in the garlic, Italian seasoning, and red pepper flakes; cook until fragrant, about 1 minute.
- 4
Slice the browned sausage into 1-inch pieces and return to the skillet along with any juices. Pour in the marinara, stir to coat, and reduce heat to medium.
- 5
Cover and simmer until the sausage is cooked through and the sauce has thickened, 7 to 8 minutes. Season with salt and pepper.
- 6
Remove from heat, scatter the fresh basil over the top, and serve hot.
Tips & notes
- Check sausage labels carefully — many brands sneak in sugar, breadcrumbs, or maltodextrin. Choose one with under 1g carb per link to keep this strictly keto.
- Serve over cauliflower rice or a bed of zucchini noodles to soak up the sauce without adding meaningful carbs.
- Store leftovers in an airtight container in the fridge for up to 4 days; reheats beautifully in a skillet or microwave.
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Frequently asked questions
- How many carbs are in keto sausage and peppers skillet?
- Each serving has 7.2g net carbs (9.8g total carbs minus 2.6g fiber), 412 calories, 19g protein, and 33g fat. This recipe makes 4 servings.
- Can I make this dish ahead of time?
- Yes. It keeps well refrigerated for up to 4 days and actually tastes better the next day as the flavors meld. Reheat gently in a skillet over medium heat until warmed through.
- What can I serve with sausage and peppers to keep it keto?
- Cauliflower rice, zucchini noodles, or a simple green salad all pair perfectly and add almost no net carbs. Avoid the traditional hoagie roll to stay in ketosis.
